Controlled Substance Database

Proxy Access

Licensed Practitioners with an active Controlled Substance license may request proxy access for appropriately trained designees. While there is no limit on the number of designees a practitioner may have, the practitioner is responsible for each designee, as well as their searches performed.

Practitioners must notify the Division immediately of any disassociation of a designee . See below for instructions.

Initial Proxy Access – Apply Online:

Apply Online

Apply manually or In-person

To Add Proxy Access To An Existing Designee:

  1. Complete an Affidavit of Practice (page three of the physical application) or a complete application for EACH practitioner that access is needed for.
  2. Include a legible copy of your Driver License, State Issued ID, or Passport
  3. Submit documentation (view Document Submission Options below)

To Remove Proxy Access:

  1. Complete the Disassociation of Designee form for each designee that no longer needs access.
  2. Submit documentation (view Document Submission Options below)

Document Submission Options:

  • Via Email: [email protected]
  • In Person or Express Delivery:
    Division of Professional Licensing
    Heber M. Wells Building, 1st Floor Lobby
    160 East 300 South
    Salt Lake City UT 84111
  • Via Standard Mail - USPS
    Controlled Substance Database
    PO Box 146741
    Salt Lake City UT 84114
  • Via Fax: (801) 530-6315